<Bundle xmlns="http://hl7.org/fhir">
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         <display value="HL7 Europe"/>
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   </identifier>
   <type value="document"/>
   <timestamp value="2016-11-04T10:41:28Z"/>
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            </identifier>
            <status value="final"/>
            <type>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="11502-2"/>
                  <display value="Laboratory report"/>
               </coding>
               <text value="Laboratory Report"/>
            </type>
            <category>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="26436-6"/>
                  <display value="Laboratory studies (set)"/>
               </coding>
            </category>
            <subject>
               <reference value="urn:uuid:1d5eed23-b969-47ea-a39e-4b731dd8e37c"/>
               <display value="Jérôme Pineau"/>
            </subject>
            <date value="2016-11-04T10:41:28Z"/>
            <author>
               <reference value="urn:uuid:f44fa194-7f47-47a9-932f-192ebd15b56c"/>
            </author>
            <title value="Laboratory Report"/>
            <confidentiality value="N"/>
            <section>
               <title value="Laboratory Report"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="26436-6"/>
                     <display value="Laboratory studies (set)"/>
                  </coding>
                  <text value="Laboratory studies"/>
               </code>
               <section>
                  <title value="Chemistry"/>
                  <code>
                     <coding>
                        <system value="http://loinc.org"/>
                        <code value="18719-5"/>
                        <display value="Chemistry studies (set)"/>
                     </coding>
                     <text value="Chemistry"/>
                  </code>
                  <text>
                     <status value="generated"/>
                     <div xmlns="http://www.w3.org/1999/xhtml">
                        <h3>Chemistry</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>04-NOV-2016</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                                 <td>
                                    <strong>6.1 H</strong>
                                 </td>
                                 <td>4.8 - 5.9</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Glucose [Mass/volume] in Blood</td>
                                 <td>77.1</td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Blood</td>
                                 <td>13.8</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Blood</td>
                                 <td>
                                    <strong>1.4 H</strong>
                                 </td>
                                 <td>0.6 - 1.2</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Calcium [Mass/volume] in Blood</td>
                                 <td>8.8</td>
                                 <td>8.5 - 10.5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Blood</td>
                                 <td>136.4</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Blood</td>
                                 <td>4.4</td>
                                 <td>3.5 - 5.0</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Blood</td>
                                 <td>103.0</td>
                                 <td>98 - 107</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Blood</td>
                                 <td>
                                    <strong>21.1 L</strong>
                                 </td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Cholesterol [Mass/volume] in Serum or Plasma</td>
                                 <td>157.6</td>
                                 <td>125 - 200</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Triglyceride [Mass/volume] in Serum or Plasma</td>
                                 <td>122.4</td>
                                 <td>0 - 150</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay</td>
                                 <td>76.3</td>
                                 <td>0 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td>
                                 <td>56.8</td>
                                 <td>40 - 60</td>
                                 <td>mg/dL</td>
                              </tr>
                           </tbody>
                        </table>
                     </div>
                  </text>
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               </section>
            </section>
            <section>
               <title value="Annotation comment"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="48767-8"/>
                     <display value="Annotation comment [Interpretation] Narrative"/>
                  </coding>
               </code>
               <text>
                  <status value="generated"/>
                  <div xmlns="http://www.w3.org/1999/xhtml">
                     <h3>Annotation</h3>
                     <table class="hl7__eu__lab__report">
                        <tr>
                           <th>Conclusion and Recommendations based on this report and previous findings known to us</th>
                        </tr>
                        <tr>
                           <td>The patient shows mildly elevated HbA1c, suggesting impaired glucose metabolism or prediabetes. Creatinine is slightly elevated, indicating possible mild renal impairment. Total CO₂ is mildly decreased, which may reflect a mild metabolic acidosis or compensation. Other parameters, including lipids and electrolytes, are within normal limits. Recommend clinical correlation and follow-up for glycemic control and renal function.</td>
                        </tr>
                     </table>
                  </div>
               </text>
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            <identifier>
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                  <display value="Laboratory studies (set)"/>
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            <specimen>
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            <result>
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            <result>
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            <result>
               <reference value="urn:uuid:047f7bba-2db9-4525-b753-6ecf3eb2b8f8"/>
            </result>
            <result>
               <reference value="urn:uuid:d1b8685b-ecf6-4259-89bf-85c4919edcbf"/>
            </result>
         </DiagnosticReport>
      </resource>
   </entry>
   <entry>
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      <resource>
         <Patient>
            <id value="1d5eed23-b969-47ea-a39e-4b731dd8e37c"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core"/>
               <security>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                  <code value="HTEST"/>
               </security>
               <security>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                  <code value="TRAIN"/>
               </security>
               <tag>
                  <system value="https://synderai.net/fhir/CodeSystem/tags"/>
                  <code value="synthetic"/>
                  <display value="SYNDERAI Synthetic data"/>
               </tag>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Jérôme Pineau</td>
                        <td>male</td>
                        <td>01-May-1973</td>
                     </tr>
                  </table>
               </div>
            </text>
            <extension url="http://hl7.org/fhir/StructureDefinition/patient-nationality">
               <extension url="code">
                  <valueCodeableConcept>
                     <coding>
                        <system value="urn:iso:std:iso:3166"/>
                        <code value="FR"/>
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            </extension>
            <identifier>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="JHN"/>
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               </type>
               <system value="http://ec.europa.eu/identifier/eci"/>
               <value value="8628-113344-6"/>
            </identifier>
            <identifier>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="MR"/>
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               <system value="http://local.setting.eu/identifier"/>
               <value value="a17a5d21-3f46-a657-da93-ede4008dd4b4"/>
            </identifier>
            <name>
               <text value="Jérôme Pineau"/>
               <family value="Pineau"/>
               <given value="Jérôme"/>
            </name>
            <telecom>
               <system value="phone"/>
               <value value="02 57 69 07 55"/>
            </telecom>
            <gender value="male"/>
            <birthDate value="1973-05-01"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="13, boulevard Margaret Perrin"/>
               <city value="Julien-sur-Denis"/>
               <postalCode value="75001"/>
               <country value="France"/>
            </address>
         </Patient>
      </resource>
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            </meta>
            <text>
               <status value="empty"/>
               <div xmlns="http://www.w3.org/1999/xhtml">intentionally left empty / not meaningful</div>
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            </identifier>
            <status value="active"/>
            <intent value="order"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="108252007"/>
                  <display value="Laboratory procedure"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:1d5eed23-b969-47ea-a39e-4b731dd8e37c"/>
               <display value="Jérôme Pineau"/>
            </subject>
            <requester>
               <reference value="urn:uuid:71d339af-6c4f-4fee-aa0b-1f68d7e74293"/>
            </requester>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="44054006"/>
                  <display value="Type 2 diabetes mellitus"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="237602007"/>
                  <display value="Metabolic syndrome X"/>
               </coding>
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            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="271737000"/>
                  <display value="Anemia"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="59621000"/>
                  <display value="Essential hypertension"/>
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            </reasonCode>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provider Role Id: 71d339af-6c4f-4fee-aa0b-1f68d7e74293</div>
            </text>
            <organization>
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            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provider Organization: Hôtel-Dieu</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="bd9a865a-d04d-4f2b-bbce-6af437270b63"/>
               <assigner>
                  <display value="HL7 Europe"/>
               </assigner>
            </identifier>
            <name value="Hôtel-Dieu"/>
            <address>
               <city value="Paris"/>
               <postalCode value="75001"/>
               <country value="France"/>
            </address>
         </Organization>
      </resource>
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   <entry>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Specimen</th>
                        <th>Collection Date</th>
                     </tr>
                     <tr>
                        <td>Whole blood specimen (specimen)</td>
                        <td>
                           <span class="nb">04-Nov-2016</span>
                        </td>
                     </tr>
                  </table>
               </div>
            </text>
            <type>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="258580003"/>
                  <display value="Whole blood specimen (specimen)"/>
               </coding>
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            <collection>
               <collectedDateTime value="2016-11-04"/>
            </collection>
         </Specimen>
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                        <th>Specimen</th>
                        <th>Collection Date</th>
                     </tr>
                     <tr>
                        <td>Acellular blood (serum or plasma) specimen</td>
                        <td>
                           <span class="nb">04-Nov-2016</span>
                        </td>
                     </tr>
                  </table>
               </div>
            </text>
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                  <system value="http://snomed.info/sct"/>
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                  <display value="Acellular blood (serum or plasma) specimen"/>
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            <collection>
               <collectedDateTime value="2016-11-04"/>
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         </Specimen>
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   <entry>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>04-Nov-2016</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                        <td>6.1</td>
                        <td>4.8 - 5.9</td>
                        <td>H</td>
                        <td>%</td>
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                  </table>
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               <coding>
                  <system value="http://loinc.org"/>
                  <code value="4548-4"/>
                  <display value="Hemoglobin A1c/Hemoglobin.total in Blood"/>
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               <text value="Hemoglobin A1c/Hemoglobin.total in Blood"/>
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                  <code value="H"/>
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                     <tr>
                        <th>Test</th>
                        <th>04-Nov-2016</th>
                        <th>Reference Range</th>
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                     <tr>
                        <td>Glucose [Mass/volume] in Blood</td>
                        <td>77.1</td>
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                        <td>mg/dL</td>
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                  <system value="http://loinc.org"/>
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                        <th>04-Nov-2016</th>
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                        <td>Urea nitrogen [Mass/volume] in Blood</td>
                        <td>13.8</td>
                        <td>7 - 20</td>
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                        <td>mg/dL</td>
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               <coding>
                  <system value="http://loinc.org"/>
                  <code value="6299-2"/>
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               <text value="Urea nitrogen [Mass/volume] in Blood"/>
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                        <th>04-Nov-2016</th>
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                     <tr>
                        <td>Creatinine [Mass/volume] in Blood</td>
                        <td>1.4</td>
                        <td>0.6 - 1.2</td>
                        <td>H</td>
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               <coding>
                  <system value="http://loinc.org"/>
                  <code value="38483-4"/>
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               <text value="Creatinine [Mass/volume] in Blood"/>
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                        <th>04-Nov-2016</th>
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                        <td>Calcium [Mass/volume] in Blood</td>
                        <td>8.8</td>
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                        <td/>
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                        <td>Sodium [Moles/volume] in Blood</td>
                        <td>136.4</td>
                        <td>135 - 145</td>
                        <td/>
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                        <th>04-Nov-2016</th>
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                        <td>Potassium [Moles/volume] in Blood</td>
                        <td>4.4</td>
                        <td>3.5 - 5.0</td>
                        <td/>
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                  <code value="6298-4"/>
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                        <th>04-Nov-2016</th>
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                        <td>Chloride [Moles/volume] in Blood</td>
                        <td>103.0</td>
                        <td>98 - 107</td>
                        <td/>
                        <td>mmol/L</td>
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                        <td>Carbon dioxide, total [Moles/volume] in Blood</td>
                        <td>21.1</td>
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                        <td>L</td>
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